person
Mr. Sam Dominick Russo, MPAS
Medical Physician Assistant in New York, New York
NPI 1164823787

Sam Dominick Russo is a Medical Physician Assistant based in Yorktown Heights, NY and is specialized in Medical. Sam Dominick Russo practices in New York, NY and has the professional credentials of MPAS. The NPI Number for Sam Dominick Russo is 1164823787 and holds a License No. (New York).

The current practice location address for Sam Dominick Russo is 650 W 168Th St, New York, NY and can be reached out via phone at 212-305-7367.

Location: 650 W 168Th St, New York, NY, 10598-1129
person
Provider Profile Details
NPI Number
1164823787
Provider Name
Sam Dominick Russo
Credential
MPAS
Provider Entity Type
Individual
Gender
Male
Address
650 W 168Th St, New York, NY, 10598-1129
Phone Number
212-305-7367
Fax Number
Provider Enumeration Date
09/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
650 W 168Th St
City
State
Zip
10032-3702
Phone Number
212-305-7367
Fax Number
person
Provider Business Mailing Address Details
Address
650 W 168Th St
City
State
Zip
10032-3702
Phone Number
212-305-7367
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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